Individual provider Active NPI

Cielo Velandia Kellner, FNP-C

  • Nurse Practitioner
  • Glenview, IL
National Provider Identifier
1770192080
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209021625 Issued in IL
Practice address
2180 Pfingsten Rd
Glenview, IL 60026-1339
Phone
(847) 503-4222
Fax
(847) 503-4220
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209021625 IL
Nurse Practitioner 363L00000X 209021625 IL Primary

Addresses

Primary practice location

2180 Pfingsten Rd
Glenview, IL 60026-1339

Mailing address

2180 Pfingsten Rd
Glenview, IL 60026-1339
Phone (847) 503-4222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210423001744 IL Practitioner - Nurse Practitioner 6608284088 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

103 N Haven Rd
Suite 7
Elmhurst, IL 60126-2973
Phone (630) 832-2111

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Dermatology, SC Nurse Practitioner CurrentSince Apr 1, 2022 Accepting new patients
Esperanza Health Centers CurrentSince Jan 16, 2021 Accepting new patients
Endeavor Health Medical Group CurrentSince Aug 23, 2021 Accepting new patients
Endeavor Health Medical Group CurrentSince Aug 23, 2021 Accepting new patients
Esperanza Health Centers Current Accepting new patients
Esperanza Health Centers CurrentSince Jan 16, 2021 Accepting new patients

Locations

2001 S California Ave
Ste 100
Chicago, IL 60608
Phone (773) 640-5785

9532 Eagle Way
Chicago, IL 60678

6550 S Richmond St
Chicago, IL 60629
Phone (773) 863-0245

2001 S California Ave
Chicago, IL 60608
Phone (773) 484-1201

103 N Haven Rd
Ste 7
Elmhurst, IL 60126
Phone (630) 832-2111

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2180 Pfingsten Rd
Glenview, IL 60026
Phone (847) 503-1000

2500 W Higgins Rd
Ste 1040
Hoffman Estates, IL 60169
Phone (847) 884-8096

1124 Essington Rd
Ste A
Joliet, IL 60435

820 Springer Dr
Lombard, IL 60148
Phone (708) 634-4602

2500 S Highland Ave
Ste 320
Lombard, IL 60148
Phone (630) 793-8193

2323 Naperville Rd
Ste 120
Naperville, IL 60563
Phone (630) 462-8680

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11903/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1770192080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 PFINGSTEN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261339",
            "telephone_number": "847-503-4222",
            "fax_number": "847-503-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 PFINGSTEN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261339",
            "telephone_number": "847-503-4222",
            "fax_number": "847-503-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELANDIA KELLNER",
        "first_name": "CIELO",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021625",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209021625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.